Therapeutic Reflections on the AA Big Book #4

The article discusses the phrase “spiritual experience” in Alcoholics Anonymous (AA), clarifying that it doesn’t require religious belief. It emphasizes that a spiritual experience is an internal shift, encompassing personal growth, connection, and emotional healing. This inclusive concept allows individuals to define spirituality on their own terms, facilitating recovery.

Hope and Healing: What AA Means by a “Spiritual Experience” (Without Religion)

For many people struggling with substance use, one phrase in the AA Big Book can feel intimidating or even alienating:

“You must have a spiritual experience to recover.”

If you’ve ever thought:

  • “I’m not religious.”
  • “I’ve been hurt by religion.”
  • “I don’t believe in God.”
  • “This isn’t for me.”

You are not alone—and you are not excluded from recovery.

As a licensed mental health counselor working in substance use treatment, I hear this concern often. The good news is this: AA’s concept of a spiritual experience is far broader, more flexible, and more psychologically grounded than many people realize.

In this blog, we’ll explore what the Big Book actually means by “spiritual experience,” how it connects to modern mental health science, and why it’s really about hope, healing, and internal change—not religion.


Why the Word “Spiritual” Can Feel So Loaded

For many clients, the word spiritual brings up strong emotions. These reactions are valid.

People may associate spirituality with:

  • rigid belief systems
  • shame or fear-based teachings
  • exclusion or judgment
  • past trauma
  • pressure to believe something that doesn’t feel authentic

So when AA uses spiritual language, it can feel like another barrier instead of a solution.

But here’s the key clarification:

AA does not require religion, belief in God, or adherence to doctrine.

The Big Book explicitly states that spirituality is personal, flexible, and self-defined.


What the Big Book Actually Means by a “Spiritual Experience”

In AA terms, a spiritual experience is an internal shift—not a supernatural event.

The Big Book describes it as:

  • a change in attitude
  • a new way of thinking
  • a shift in values
  • a sense of connection
  • relief from mental obsession
  • freedom from constant self-centered fear

In therapy, we might call this:

  • cognitive restructuring
  • emotional regulation
  • identity transformation
  • nervous system stabilization
  • meaning-making
  • post-traumatic growth

Different words—same process.


Two Types of Spiritual Experiences (According to AA)

The Big Book describes two forms of spiritual experience:

1. The Sudden Change

This is the “aha moment”—a dramatic internal shift where cravings disappear quickly. While powerful, this is not the norm.

2. The Educational or Gradual Change

This is far more common and deeply therapeutic. It happens slowly through:

  • insight
  • self-awareness
  • support
  • consistency
  • connection
  • honesty

Most clients experience recovery this way—and it is just as valid.


From a Clinical Lens: What’s Really Happening

When someone experiences a “spiritual awakening,” several psychological processes are often occurring:

The nervous system calms

Substances are no longer needed to regulate overwhelming emotions.

The brain learns new coping pathways

The person begins responding instead of reacting.

The internal narrative changes

“I’m broken” becomes “I’m learning.”

Connection replaces isolation

Healing happens in relationship—with people, values, or purpose.

Hope becomes sustainable

Life begins to feel tolerable—and eventually meaningful—without substances.

This is not religious.
It is human healing.


Client Example: A Spiritual Experience Without Religion

Alex, a 38-year-old client, came into treatment adamantly against AA:
“I don’t believe in God. This isn’t for me.”

Over time, Alex stopped fighting the word spiritual and redefined it:

  • honesty instead of denial
  • connection instead of isolation
  • accountability instead of shame
  • values instead of avoidance

One day Alex said:
“I still don’t believe in God—but I don’t feel empty anymore.”

That was the spiritual experience.


You Get to Define What Spirituality Means to You

AA encourages people to define spirituality on their own terms.

Some non-religious examples include:

  • connection to nature
  • belief in humanity
  • commitment to values
  • mindfulness
  • service to others
  • inner peace
  • curiosity
  • personal growth
  • compassion

Spirituality in recovery simply means:
something greater than the addiction.


Therapy + AA: Translating Spiritual Language Into Practical Healing

In counseling, we often help clients translate AA concepts into accessible tools:

🔹 “Higher Power”

→ support system, values, recovery community, internal wisdom

🔹 “Spiritual awakening”

→ emotional and cognitive growth

🔹 “Letting go”

→ reducing control, perfectionism, and self-blame

🔹 “Faith”

→ willingness to try something new, even without certainty

This translation helps clients stay engaged instead of feeling alienated.


Reflection Questions for Readers

If spirituality feels uncomfortable, consider these questions:

  • What helps me feel grounded?
  • When do I feel most connected?
  • What values matter to me now?
  • What helps me tolerate discomfort without using?
  • What would hope look like in my life?

There are no right answers—only honest ones.


Why This Concept Matters for Long-Term Recovery

Substances often fill a void:

  • emotional
  • relational
  • existential

A spiritual experience doesn’t “fix” everything—but it creates space.

Space to:

  • feel emotions
  • build meaning
  • tolerate uncertainty
  • experience joy
  • live intentionally

Without that internal shift, sobriety can feel like deprivation.
With it, recovery becomes expansion.


Final Thoughts: You’re Not Being Asked to Believe—You’re Being Invited to Heal

AA does not ask you to adopt religion.
It asks you to stay open.

A spiritual experience in recovery is:

  • personal
  • gradual
  • grounded
  • human
  • healing

If you’ve avoided AA because of the word spiritual, know this:

There is room for you here—exactly as you are.

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Author: Carmen Pineiro,LMHC

I am experienced in counseling individual's suffering from depression, anxiety, substance use, as well as those having relationship issues, and low self -esteem. My particular area of interest is with the LGBT community and those diagnosed with HIV.
In the therapy room, my first goal is to listen carefully to the individual sitting in front of me creating a supportive and comfortable environment to freely express themselves. Together, we will set goals for therapy and plan what will be accomplished in our sessions.  Your feedback is encouraged as this is the best tool to know if your goals are being met and progress is being made.

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